06D2075274 CLIA NUMBER - SAFEWAY PHARMACY #0137

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Laboratory Demographics

CLIA Number: 06D2075274

Facility Name: SAFEWAY PHARMACY #0137

Facility Address:
12200 E MISSISSIPPI AVE
AURORA, CO
ZIP 80010
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Facility Phone Number: 303 696-1923

Facility Type: Pharmacy

Certificate Type: Waiver

NPI Number: 1427094036

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name	Field Value
CLIA Number	06D2075274
LAB Type	Pharmacy
Facility Name	SAFEWAY PHARMACY #0137
Street	12200 E MISSISSIPPI AVE
City	AURORA
State	CO
ZIP	80010
Phone	303 696-1923
CertificateType	4
CertificateEffectiveDate	11/3/2023
CertificateExpirationDate	11/2/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024